Simple Appointment Form

Student Agreement, Quote and Discounts Form
and Time Building Hours
Full Name
First NameLast Name
ETA ID:
E-mail
Print a copy of your STUDENT AGREEMENT from your documents section in ETA. Refer to it and answer all the questions below.
Which payment option does your contract state:
Please list the details of your payments/ deposits from records in your ETA Debit Account:
Payment Deposit, Amount and Invoice # In accordance with Payment Schedule Selected
In your Student Agreement, find "Specials/ Discounts Details". What do the notes say?
In your Student Agreement, find "Payment Schedule & Notes". What do the notes say?
What was YOUR class start date?
MonthDayYear
If your payment option was "Paid in Full" was the total noted on your Student Agreement in the "Estimated Tuition Costs" box paid within 5 days of the dates listed as "Class Start Date"?
If your payment option was "Installments" were all 3 of your installments recieved by the dates and in the total amounts listed on your Student Agreement in the "Payment Schedule & Notes"?
Please provide full details as to what your questions or concerns.
Should be Empty:

Student Agreement, Quote and Discounts Form